PD PXQ Lana 4

By the following description, grade the heart murmur: loud with palpable thrill. Cannot be heard when stethoscope is partly off the chest:

A 57-year-old man comes to the ED with “a headache like I’ve never had before.” He is brought to the ED by his wife. The patient had been completely well, healthy, and active before this episode (which began last night). Nausea and vomiting began soon after the headache onset. The patient and his family report no history of trauma. There is no family history of migraine or cluster headache. On examination, there us significant neck stiffness. The patient is unable to move his neck without extreme pain. At this time, with the information you have to this point, what is the most likely diagnosis?

71 year old male during his office visit complains about pain in his legs during rest and very soon upon any physical activity. He smokes 1 package per day. On inspection legs look pale, there is obvious hair loss on the anterior surface of the tibias. In order to screen the peripheral artery disease there is necessary to conduct

Which of the following are associated with upper motor neuron lesions?

A man is stabbed and arrives at the emergency room within 30 minutes. You notice that the trachea is deviated away from the side of the chest with the puncture. The most likely lung finding on physical examination of the traumatized side is which of the following?

Which of the following cannot be heard with the diaphragm of stethoscope?

Which of the following is not a peritoneal sign?

30 years old male presents to the clinic with right side flank pain, nausea, dysuria and fever. Which of the following is appropriate to treat

A 23-year-old medical student presents with the chief complaint of palpitations while playing basketball. The episode lasted 15 minutes. He denies dizziness, syncope, chest pain, and shortness of breath. He admits to a sedentary lifestyle but tries to eat three quality meals per day. He is adopted, and a family history of heart disease is unknown. Physical examination is remarkable for a reverse pulsus paradoxus. Which of the following is the most likely diagnosis?

What causes S4 sound?

Which of the following is not a component of the cerebellar examination?

Which of the following is correct about weakness?

Which of the following cannot be in patient with increased JVP?

Examiners hand is placed on the patient’s right anterior thigh and the patient is asked to raise his/her right leg against the examiner’s hand. This test is called

A 44-year-old man presents with facial asymmetry. On physical examination, touching the cornea of either eye with a cotton swab results in blinking of only the left eye. The patient states that he feels the cotton swab touch in both eyes. Which of the following is the most likely diagnosis?

A 34-year-old nursing student is referred to your office because of the onset of a recent cough productive of dark-colored sputum. She is febrile but does not appear ill. She has been able to continue working with her symptoms. Examinations of the posterior thorax is normal, but there is dullness at the anterior right hemithorax below the fifth rib and on midaxillary line. Crackles, as well as localized pectoriloquy, are audible over the same area. Which of the following is the most likely diagnosis?

You are performing a thorough cardiac examination. Which of the following chambers of the heart can you assess by palpation

Which of the following is correct about transmitted voice sounds?

When assessing cranial nerves IX and X, which of the following would the doctor consider as a normal finding?

A Weber teat that lateralizes to the deaf ear with a Rinne test that is negative detects which kind of hearing loss?

Which from the following is not true about Babinski reflex?

Which of the following describes is not common or concerning symptoms of Respiratory disease?

You are assessing a patient with joint pain and are trying to decide whether it is inflammatory or noninflammatory in nature. Which one of the following symptoms are consistent with an inflammatory process

Which of the following is true about lymph nodes examination?

Labored breathing manifestations include

An 80-year-old woman who was healthy and active until the last 2-3 years presented for evaluation and treatment when she developed severe back pain that exacerbated with walking, bending, or lifting. She has a stooped posture that appears to have worsened over the last several months based on reports from family members. A magnetic resonance imaging scan of her spine reveals 80% loss of height of the bodies of the T7 and T8 vertebrae. She was diagnosed to have a compression fracture. What type of pain does patient have?

Which of the following is not characteristic for the ascetic fluid in abdomen?

You palpate anatomical snuff box what elicit the tenderness. Patient might have

Intermittent claudication means

Which of the following statements is true?

Which of the following are the signs of peritonitis?

A 38 year old white woman, she presents to the physician experiencing intermittent low back and right sided hip joint pain with difficulty bending over when picking up her kids or cleaning around the house. Patient notes the pain began about six months ago without injury and comes and goes without any obvious trigger, although the pain seems to be worse when she gets up in the morning. She says she needs about 30-40 min to "unlock" her joints, On the examination physician notes pitted nails. The most likely diagnosis is

Positive Tinel's sign helps in diagnostics of

51-year-old woman employed as an administrator was present with chief complain in the right groin area, radiating into the right anterior thigh and sometimes knee. She also complained of right posterior low back pain. The pain was of a variable, intermittent-type ache, aggravated by walking and eased by rest in the supine position. During the day, the patient's job involved standing, walking, and sitting. As the day progressed, the patient's symptoms worsened. The patient reported sleeping well. There were no complaints of paranesthesia’s or anesthesia’s. The patient denied any neurological symptoms related to cauda equina or spinal cord involvement. On observation, the patient walked with Trendelenburg gait. Inspection revealed a slight shift in the lumbar spine toward the left. There appeared to be a flattening of the right gluteal musculature. Objectively, strength of musculus gluteus minimus and medius both graded 4. On palpation of the pelvic levels in standing, the right posterior inferior iliac spine was lower than the left. The right anterior superior iliac spine was higher than the left and the pelvis appeared to be in a right posterior ilial rotation. The levels of the greater trochanters, gluteal folds, and posterior knee creases appeared symmetrical. The most likely diagnosis is

You are having a patient male, 50 years old, with history of diabetes type 2, smoking 10 cigarettes per day. He says that 4-5 days per week he intensively exercises in gym. Which of the above listed parameters is not a risk factor for peripheral artery disease?

Which of the following are the risk factors for abdominal aortic aneurism?

Parietal pain originates from inflammation in the parietal peritoneum. It varies in quality and may be gnawing, burning, or cramping. When it becomes severe, it may be associated with sweating. pallor, nausea, vomiting, and restlessness.

A 74-year-old retired man, with history of smoking one pack within 40 years and hypertension, overweight, consulted a doctor of chiropractic for chronic low back pain. The history and physical examination confirmed chronic sacroiliac and a lumbar facet dysfunction. After 5 weeks, the patient stated he had stomach cramps. Physical examination revealed pulsatile mass in the abdomen. The most likely diagnosis is:

47-year-old male construction foreman who has noticed worsening medial and posterior knee pain, joint stiffness, weakness, and the feeling of instability in his right knee over the last 10 days beginning after playing in a soccer game. The patient has not seen a physician regarding the pain until 1 day ago, On the examination he expresses that the worse pain (8/10) is felt during squatting motions, getting up from a chair, ambulating, and descending stairs. ROM was limited and presented decreased strength of muscles. There were signs of Inflammation in the Joint line and moderate swelling in the medial joint line. The patient also claims a locking sensation during deeper flexion. MCL stress testing has not reveal laxity and/or pain. McMurray test revealed tenderness in the medial joint line. The most likely diagnosis is

Unequal heights of the iliac crests, or pelvic tilt, can be produced from the following, except

63 year old female complains of shoulder pain and limited ROM due to it. Assessing patient, you ask her to scratch her neck and touch the opposite shoulder. She shows difficulties producing this motion. Patient might have joint

Which of the listed below statements is not true about dorsalis pedis pulse?

57-year-old man who reports to the clinic complaining of frequent cramping pain in his left leg induced by walking, Because of this he cannot accomplish his dally walking plan. On his visit to a physician, resting ankle-brachial index (ABI) test was performed and showed result <0.90. Patient has a past medical history of hypertension, which is well managed. He does not take any other prescription medications. Smokes 1 pack per day. The most likely diagnosis is

Tenderness and spasm of paravertebral muscles can be caused by

Decreased strength during hand grip tests helps to identify which of the following?

A 55-year-old man presents because of chest pain, breathlessness, and headache. This patient had uncontrolled systemic arterial hypertension for 15 years and had been treated with B-blockers, diuretic and angiotensin receptor-blocker and calcium channel blockers. Despite this therapy, on physical examination, his blood pressure was 185/120 mm Hg with no difference between the two arms and leg. He had no history of diabetes, but he is a smoker. The most likely diagnosis is

Dullness replaces resonance when:

The echocardiogram of a 22-year-old woman reveals mitral valve prolapse. Which of the following is the most common physical finding in this condition?

Melena or melaena means:

Screening is one of the following:

A 20-year-old basketball player is seen for evaluation prior to beginning another season of competitive sports. A harsh systolic murmur of HOCM is heard at the left lower sternal border. Which of the following maneuvers will enhance this murmur if

All of the following findings would suggest a diagnosis of hypertrophic cardiomyopathy except: